Monona County Economic Development Partnership for Growth Membership Form

Monona County Economic Development

Partnership for Growth

Membership Commitment Form

To become a member of MCEDP simply complete our online form or you can use our
Printable form and mail the form to our office.

	Membership Commitment Form

	Company
	Address
	City State Zip
	Year Co. Established # of Employees in Region
	Mailing Address (if different)

	City State Zip
	Website
	(Please use http://www.yoursite.com format)
	*Primary Contact*
	Title
	Phone Fax
	E-mail

	*Secondary Contact*
	Title
	Phone Fax
	E-mail

	*Billing Contact*

We agree to invest $ on an annual basis for three years beginning January 1, 2006 through December 31, 2008.

For further information, contact us at 712-433-4493

Monona County Economic Development Partnership for Growth
PO Box 115
Onawa, IA 51040

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